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目的:探讨腹腔镜下联合垂体后叶素行卵巢巧克力囊肿剥除的可行性及治疗效果。方法:腹腔镜下治疗60例卵巢巧克力囊肿患者(A组),予垂体后叶素12μ注射于子宫体及卵巢系膜,再行囊肿剥除手术,并与腹腔镜下常规行卵巢巧克力囊肿剥除术的患者60例(B组)比较,分析手术时间、术中出血量、术后体温恢复正常时间、术后排气时间及术后住院时间等临床指标。结果:A组手术时间和术中出血量明显少于B组,两组比较差异有显著性(P<0.01);A组术后体温恢复正常时间小于B组,两组比较差异有统计学意义(P<0.05);A、B两组术后排气时间及术后住院时间差异无统计学意义(P>0.05)。结论:腹腔镜下联合应用垂体后叶素行卵巢巧克力囊肿剥除术可有效的减少术中出血,缩短手术操作时间,进而保护卵巢功能。
Objective: To investigate the feasibility and therapeutic effect of laparoscopic vasopressin ovarian chocolate cyst stripping. Methods: Laparoscopic treatment of 60 patients with ovarian chocolate cyst (group A), to the pituitrin 12μ injection in the uterus and ovary mesangial, and then cyst removal surgery, and laparoscopic conventional ovarian chocolate cyst stripping In addition to surgery in 60 patients (B group), analysis of operative time, intraoperative blood loss, postoperative body temperature recovery time, postoperative exhaust time and postoperative hospital stay and other clinical indicators. Results: The operation time and intraoperative blood loss in group A were significantly less than those in group B, with significant difference between the two groups (P <0.01). The postoperative recovery time of body temperature in group A was less than that in group B, the difference was statistically significant (P <0.05). There was no significant difference in postoperative exhaust time and postoperative hospital stay between groups A and B (P> 0.05). Conclusion: Laparoscopic combined with vasopressin ovarian cyst excision can effectively reduce intraoperative bleeding, shorten the operation time, and then protect ovarian function.